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Pennsylvania rates for HCPCS J3489

Injection Zoledronic Acid 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $85.68 / $2,080.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $46.78 / $646.40
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $6.64 / $2,894.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $5.49 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.05 / $5.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $200.42 / $582.77
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $6.45 / $2,779.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $91.80 / $2,206.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $32.72 / $359.84
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.05 / $5.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $11.14 / $12.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $11.14 / $12.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.36 / $57.79